BACKGROUND: Volvulus of the mobile spleen is a rare condition generally man
ifested by acute sudden onset abdominal pain localized in the left flank Ul
trasound or computed tomographic imaging generally provides the diagnosis.
CASE REPORT: An 18-year-old patient was hospitalized for acute pain of the
left flank that had begun 48 hours earlier. The abdominal scan visualized a
volvulus of a mobile spleen. Laparoscopic detortion was successful, allowi
ng normal recoloration of the spleen.
DISCUSSION: Rapid intervention is crucial for conservative treatment Laparo
scopic treatment allows detortion manoeuvres and splenopexia using a mesh.
This is the first reported case of successful conservative laparoscopic tre
atment of volvulus of a mobile spleen.